Describe the setting:
Legacy Salmon Creek Emergency Department (ED) check-in is on the first floor for both pediatric and adults. Once patients are checked in and then the patient is taken to the pediatric department is on the second floor where triage and emergency care occurs. The second floor is set up like an inpatient floor, where each patient gets their own room, and computer and vital machines are all in the room. The right side of the floor is used for adult emergency care if there is an overflow downstairs. Nurses and doctors are stationed right outside the door, and the pyxis machine is located right between the left and right wing.
This emergency department takes care of all types of emergency patient age ranging between newborn …show more content…
The nurses in the ED have up to three patients for whom they are for. The nurses do not have CNA, so they are responsible for taking vital, providing blanks, water, assessments, treatments, and the nurses are responsible for doing everything for the patients. This is also the case for nurse whom I worked with previous clinical experiences. This clinical setting is similar to Labor and Delivery because the nurses are super involved and continuously monitor the patient. The one way the role and responsibility differed from past clinical experience is that client-patient relationship is short-term. The patients come go within 2-4 hours of admission. Whereas in past clinical experience the nurse works with the patient for 12 hours or more. So time spent caring for the patient is the only difference observed during this clinical …show more content…
The average blood loss during a menstrual cycle is 20-50ml and anything above 80ml is considered excessive (Perry, 2012 and 201; Fraser et al., 2011). In addition to what the patient reports (number of pads used per day), it is important to look for signs and symptoms such as fatigue, breathlessness, anemia, feeling cold, and palpitation. It is important to find the cause and treatment this illness is because of all articles found states that “heavy menstrual bleeding can have an adverse impact on women’s health-related quality of life and is an important cause of iron deficiency anemia” (Fraser et al., 2011). The most common treatment for menorrhagia is oral contraceptive, which has been shown to be associated with good cycle control and tolerable menstrual cycle (Fraser et al., 2011; Perry 2013). Oral contraceptive, such as Glaira and Natazia regimen designed to deliver estrogen and progesterone each 28-day treatment cycle to normalize menstrual period and lower overall blood loss (Fraser et al., 2011). “The use of hormonal therapy has been found to be effective in adolescents where a bleeding disorder is an underlying cause” (Perry, 2013). These two articles show the importance of trying the least invasive treatment before any other treatment options are introduced to the
Legacy Salmon Creek Emergency Department (ED) check-in is on the first floor for both pediatric and adults. Once patients are checked in and then the patient is taken to the pediatric department is on the second floor where triage and emergency care occurs. The second floor is set up like an inpatient floor, where each patient gets their own room, and computer and vital machines are all in the room. The right side of the floor is used for adult emergency care if there is an overflow downstairs. Nurses and doctors are stationed right outside the door, and the pyxis machine is located right between the left and right wing.
This emergency department takes care of all types of emergency patient age ranging between newborn …show more content…
The nurses in the ED have up to three patients for whom they are for. The nurses do not have CNA, so they are responsible for taking vital, providing blanks, water, assessments, treatments, and the nurses are responsible for doing everything for the patients. This is also the case for nurse whom I worked with previous clinical experiences. This clinical setting is similar to Labor and Delivery because the nurses are super involved and continuously monitor the patient. The one way the role and responsibility differed from past clinical experience is that client-patient relationship is short-term. The patients come go within 2-4 hours of admission. Whereas in past clinical experience the nurse works with the patient for 12 hours or more. So time spent caring for the patient is the only difference observed during this clinical …show more content…
The average blood loss during a menstrual cycle is 20-50ml and anything above 80ml is considered excessive (Perry, 2012 and 201; Fraser et al., 2011). In addition to what the patient reports (number of pads used per day), it is important to look for signs and symptoms such as fatigue, breathlessness, anemia, feeling cold, and palpitation. It is important to find the cause and treatment this illness is because of all articles found states that “heavy menstrual bleeding can have an adverse impact on women’s health-related quality of life and is an important cause of iron deficiency anemia” (Fraser et al., 2011). The most common treatment for menorrhagia is oral contraceptive, which has been shown to be associated with good cycle control and tolerable menstrual cycle (Fraser et al., 2011; Perry 2013). Oral contraceptive, such as Glaira and Natazia regimen designed to deliver estrogen and progesterone each 28-day treatment cycle to normalize menstrual period and lower overall blood loss (Fraser et al., 2011). “The use of hormonal therapy has been found to be effective in adolescents where a bleeding disorder is an underlying cause” (Perry, 2013). These two articles show the importance of trying the least invasive treatment before any other treatment options are introduced to the